Phaeohyphomycotic pseudotumor of the right elbow caused by Trematosphaeria grisea

Rakita, Uros; Wallis, Luke; Grushchak, Solomiya; Veselinovic, Mladjen; Liu, Wenhua; Krunic, Aleksandar L.

doi:10.1016/j.jdcr.2021.04.005

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…The majority of cases of septic bursitis are due to bacterial pathogens, particularly Gram-positive organisms (Staphylococcus aureus and Streptococcal species). More recently, reports have appeared in the literature of chronic infectious bursitis caused by fungi and occurring in both immunocompromised and healthy immunocompetent individuals [ 3 , 4 ].…”

Section: Discussionmentioning

confidence: 99%

Rare Case of Dematiaceous Fungal Infection in the Olecranon Bursa of a 75-year-old Diabetic Male – A Case Report

Mohan,

Krishna

2023

jocr

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Introduction: Dematiaceous fungi are a group of fungi characterized by the presence of melanin in their cell walls. These fungi are known to cause a wide range of infections in humans, including skin and soft-tissue infections, sinusitis, and meningitis. Infections caused by dematiaceous fungi are typically seen in immunocompromised hosts and manifest most commonly as cutaneous or subcutaneous disease. Systemic infections are exceedingly rare and associated with significant morbidity and mortality. Case Report: Here is a case study of a 75-year-old diabetic male with a rare case of dematiaceous fungal infection in the olecranon bursa. The patient presented with a painless swelling of 3-year duration over the right elbow which started draining pus for 1 month. Surgical excision of the bursa was performed, and histopathological examination and culture confirmed the diagnosis of dematiaceous fungal infection. We discuss the diagnosis, treatment, and management of this rare fungal infection. Conclusion: Although dematiaceous fungal infections are a rare cause of olecranon bursitis, the clinician must send a fungal culture in every case for prompt diagnosis and treatment. Keywords: Dematiaceous fungi, olecranon bursitis, Exophiala, diabetes, immune compromised.

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Section: Discussionmentioning

confidence: 99%

Rare Case of Dematiaceous Fungal Infection in the Olecranon Bursa of a 75-year-old Diabetic Male – A Case Report

Mohan,

Krishna

2023

jocr

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Phaeohyphomycosis caused by Trematosphaeria grisea in an immunocompromised English springer spaniel

Brennan,

Liatis,

Frosini

et al. 2024

Vet Record Case Reports

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A 10‐year‐old, male, farm‐based springer spaniel that presented with subacute progressive left‐sided central vestibular signs was diagnosed with meningoencephalitis of unknown origin. The patient received prednisolone (2 mg/kg/day orally), ciclosporin (5 mg/kg orally twice a day) and a single infusion of cytarabine (200 mg/m2). Six weeks later, neurological signs had resolved, but multiple cutaneous nodules developed on the limbs, trunk and face. Lesions discharged a dark purulent material without tissue grains. A ‘filamentous fungus’ was isolated, but discarded without identification. Aspirates from nodules showed pigmented, septate fungal hyphae, and culture of aspirates yielded Trematosphaeria grisea. Itraconazole (5 mg/kg once a day) and gradual tapering of immunosuppressive drugs led to resolution of nodular lesions over 4 months without neurological relapse. A fungal granuloma developed transiently 8 months after starting itraconazole. Immunosuppressive drugs were stopped 15 months after introduction without neurological relapse. Itraconazole was withdrawn 8 weeks later, 5 months after last relapse of skin disease.

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Phaeohyphomycotic pseudotumor of the right elbow caused by Trematosphaeria grisea

Cited by 2 publications

References 9 publications

Rare Case of Dematiaceous Fungal Infection in the Olecranon Bursa of a 75-year-old Diabetic Male – A Case Report

Rare Case of Dematiaceous Fungal Infection in the Olecranon Bursa of a 75-year-old Diabetic Male – A Case Report

Phaeohyphomycosis caused by Trematosphaeria grisea in an immunocompromised English springer spaniel

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